London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1963

[Report of the Medical Officer of Health for London County Council]

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Contra-indications Boys Girls
Occupations involving:
Heavy manual work 228 170
Sedentary work 18 4
Indoor work 3 3
Exposure to bad weather 138 104
Wide changes of temperature 118 155
Work in damp atmosphere 91 83
Work in dusty atmosphere 203 116
Much stooping 41 40
Work near moving machinery 73 92
Prolonged standing, much walking or quick movement from
place to place 180 217
Normally acute vision 1,306 1,115
Normal colour vision 348 10
Normal use of hands 16 16
Work requiring freedom from damp hands and skin defects 30 31
Handling or preparation of food 41 30
Normal hearing 71 49
Any other work which would be unsuitable 21 29
Unfit for any employment - 1
note: An individual may be noted for two or more contra-indications.
Infectious diseases in schools
When a pupil is absent from school and the cause is either known or suspected to be due
to infectious disease, the head of the school notifies the divisional medical officer and the
borough medical officer of health.
These notifications are uncorrected for diagnosis but form the best available index of
the trend of infectious disease in the school community; they are the only figures available
in respect of diseases which are not statutorily notifiable.
When the number of cases of infectious disease reported from a particular school
indicates the possibility of an outbreak, special visits are made by a school health visitor
and, if necessary, by a school doctor, in order to investigate the situation and take whatever
control action is necessary.

The numbers of cases of infectious diseases reported during 1963 and the preceding years are given below:

19591960196119621963
Chicken-pox5,3998,3575,8958,3327,176
Dysentery, diarrhœa or enteritis1,1481,5576699883,180
German measles1,3256313,89112,3321,314
Impetigo192194187193167
InfluenzaN/A229127183140
Jaundice19253493274106
Measles9,3262,54414,3432,8756,141
Mumps3,7888,7832,3381,6778,250
Ophthalmia and conjunctivitis264299536645277
Ringworm (scalp)138101018
Ringworm (body)4651261918
Scabies5776785965
Scarlet fever1,264721634526548
Sore throat and tonsillitis1,2999051,4169111,302
Whooping cough5081,454395245879

Prophylaxis—The system of recording medical inspection findings by years of birth
permits an analysis of the percentage of school pupils, according to age, who have received
prophylaxis, based on the findings at periodic general medical inspections. These figures
may be compared with the separate estimates, prepared for the Ministry of Health, given
on pages 57 and 58.
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